MEDICARE: INTEGRAHEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1669262465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRAHEALTH LLC

Provider Business Mailing Address
First Line	:	9722 GROFFS MILL DR # 916
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-6341
Country	:	US
Telephone Number	:	410-870-9380
Fax Number	:	410-431-3550

Provider Business Practice Location Address
First Line	:	3210 POWDER MILL RD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-1029
Country	:	US
Telephone Number	:	301-937-3939
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	KAMAL SALAH H SEWARALTHAHAB
Credential	:
Telephone Number	:	410-646-2100

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	06/11/2025

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Directions to “INTEGRAHEALTH LLC ” Practice Location

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